Individual
MR. MARTIN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
3111 HILLSIDE DR, HIGHLAND VILLAGE, TX 75077-6453
(214) 914-5089
Mailing address
3111 HILLSIDE DR, HIGHLAND VILLAGE, TX 75077-6453
(214) 914-5089
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
521377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018HT
BLUE CROSS
TX
Enumeration date
03/19/2008
Last updated
03/23/2008
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